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a~:~~i.i~~ <br />vno~uc~ <br />Acordia/Pettit-Morry Co of OR <br />10300 SW Greenburg Rd. #110 <br />Portland, OR 97223 <br />(503) 293-9500 <br />_..... <br />INSURED <br />CAPITAL CITY MOVING & STORAGE ' <br />DBA: CAPITAL CITY TRANSFER <br />P.O. BOX 7371 ' <br />SALEM, OREGON 97303 ' <br />___ <br />~~Y _ <br />A _ _ . _ _ <br />CORNHUSKER _ __ _ _ <br />CASUALTY __ _ __ _ _ __ <br />COMPANY <br /> _ <br />_ __. <br />Y <br />' __ <br />B _ _ _ _ <br />CORNHUSKER <br />_ _ <br />CASUALTY <br />___ .... _ _ <br />COMPANY <br />LEl <br />TER <br />__ _ <br />COMPANY _ <br />G+ _ __ __ _ _ __ <br />LEffER <br />COMPANY D <br />LETTER <br />~~RY E CORNHUSKER CASUALTY COMPANY <br /> <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />__ _ _ _ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />_ .. . _ __ _ _._.. _ __ .... _. .. <br />CO ' TYPE OF INSURANCE POLJCY NUMBER POLICY EFFECTiVE POLICY EXPIAATION : ~~ <br />LTA i DATE (MM/DD/YY) I DATE (MM/DD/YY) <br />_. : _ __ __ . __ <br />pj : C,ENEAAL LIABRITY _ __ __ ;_ __ _ ...... _ _, _ . __ <br />', GENERAL AGGREGA7E I S 2~ O O O~ O O O <br />COMMERCIAL GENERAL IIABILITY ' <br />X : OBPOOOSas i PRODUCTS-COMP/OP AGG. S], ~ O O O~ O O O <br /> <br />__ ___ _ _ <br />CUUMS MADE I X OCCUR. ~~~NAL 6 ADV. INJURY S 1~ ~ ~ Q~ 0 0 Q <br />O S~O 1~9 ~I O 5~ O 1~ 9 H: <br />; <br />OWNER'S 8 CONTRACTOR'S PROT. .. <br />EACH OCCURRENCE <br />I l~OOO~OOO <br /> ; FIRE DAMAGE (My one fire) I S S O~ O O O <br /> <br />_......... _... : <br />_ <br />_ _ _ __ . ......__ __ __ _ _ ..._ ' ....... <br />MED. EXPENSE (My one peraon) I S 5 O O O <br />_ _ ;. . _ _ < _ __ _. . __. _ ._ _ <br />. <br />AUTOMOBILE W1BILfTY <br />. . <br />.. COM ED SINGLE <br />O O O <br />S 1 <br />O O O <br />: LIMIT IN ' <br />B E <br />~[ <br />. ANY AUTO : OBPOOO~6 <br />~ ~ <br />~ <br />, <br />' <br />._.... ._.._.__... <br />; <br />: <br />~ <br />. . <br />ALL OWNED AUTOS . _ <br />-- ._ ........ ......_. _... <br />. <br />O'rJ ~O 1~9 I I O S~ O 1~ 9 H; 80DILY INJURY ; <br /> <br />SCHEDULED AUTOS s <br />' (Per person) <br />_ _. _.. _ <br />X HIRED AUT0.S ' BODILY INJURY <br /> <br />X ; NON-ONME~ AUTOS = <br />(Per accident) <br />GARAGE LIABILITY <br />;........: <br />PROPERTY DAMAGE I S <br />MARION COUNTY <br />ATTN: ELYN LION <br />220 HIGH STREET, 4TH FLOOR <br />SALEM OR 97310 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL 3 ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFf, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY Klfyq UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />